Conclusions : Craniosynostosis surgery is safe with low rates of mortality and acute complications. While death from the routine surgery … The high failure rate and mortality burden in these early cases had two possible antecedents: 1) microcephaly was misdiagnosed as craniosynostosis or 2) the surgery was performed late; they were possibly less associated with a high surgical risk itself. LOS >4.2 appears to be associated more with comorbidities than with complications. Mortality rate: 19% Complications: bile leakage, deep vein thrombosis, and infection U.S. doctors perform over 500,000 gallbladder removals each year. Bleeding is the main cause of mortality after surgery to correct craniosynostosis. Although open cranial vault remodeling was initially considered a high-risk procedure, many advances have improved its safety. Craniosynostosis, the premature fusion of cranial sutures, occurs in approximately 3.5–4.5 out of 10,000 live births worldwide (Cohen and MacLean, 2000).Although Samuel Thomas von Soemmerring first realized the association between premature cranial suture fusion and dysmorphic cranial growth in 1791, Virchow is credited with coining the term craniosynostosis and … Most cases of craniosynostosis are compatible with survival, although a high mortality rate is observed during the neonatal period in some conditions [5,6]. Increasing length of surgery was also associated with the need for an intraoperative transfusion. Introduction. [23, 24] Mortality rate was <1%. The incidence of Craniosynostosis is approximately 1 in 2000/3000 births…. Sagittal Craniosynostosis – the sagittal suture is the most commonly affected suture at approximately 60%. LOS >4.2 appears to be associated more with comorbidities than with complications. Conclusions. We conducted a retrospective 30-year review of craniosynostosis surgery at a single major craniofacial institute to establish the rate and predictors of complications. The mean length of surgery in the transfusion group was 3.62 (range, 1.2–6.33; SD, 1.16) versus 2.12 hours (range, 1.47–3.27; SD, 0.65) in the no-transfusion group with a P value <0.001. Meticulous hemostasis and early transfusion can mitigate the results of blood loss. This 20-year experience demonstrates the safety of modern open craniosynostosis repairs at a large academic medical center with low rates of mortality (0%), complications (1.2%), and reoperations (2.5%). Careful planning of the delivery method and perinatal care is crucial because of the potential for complex anomalies of the … Multidisciplinary care involving plastic surgery and neurosurgery is generally accepted as optimal to manage craniosynostosis to avoid complications and to identify patients at risk. In a single-center analysis of 118 infants undergoing craniosynostosis repair (ESC 80 cases versus open 38 cases), the authors reported no coagulation product administration in the ESC group and 18% for open reconstruction procedures. CVR procedures to correct craniosynostosis are known to result in extensive blood loss. Higher rates of comorbidities and LOS >4.2 days for patients age 1 to 3 years warrant addition research to assess potential barriers to care. in other words, there is approximately 175 infants born each day with Craniosynostosis. Craniosynostosis surgery is safe with low rates of mortality and acute complications. Surgical intervention during infancy for both syndromic and nonsyndromic patients with craniosynostosis remains the criterion standard of treatment with the 2 main options being open vault remodeling versus minimally invasive surgery. 1. 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